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Application of MR FLAIR in the diagnosis of ischemic stroke
XIE Kanglin  WANG Chongxiao  ZHANG Faping  SHU Lingling  WANG Linkui 

Cite this article as: Xie KL, Wang CX, Zhang FP, et al. Application of MR FLAIR in the diagnosis of ischemic stroke[J]. Chin J Magn Reson Imaging, 2021 12(3): 63-66. DOI:10.12015/issn.1674-8034.2021.03.014.


[Abstract] Objective To explore the application value of MR fluid-attenuated inversion recovery (FLAIR) sequence in the diagnosis of ischemic stroke. Materials andMethods The clinical and MR imaging data of 150 patients with ischemic stroke treated in the hospital between January 2019 and March 2020 were retrospectively analyzed. According to the strength of FLAIR sequence hyperintense vessel sign (HVS), the patients were divided into group A (HVS＜5 points, n=53) and group B (HVS≥5 points, n=97). Clinical and imaging characteristics of the two groups were compared. The relationship between different HVS scores and the severity of neurological deficit and cerebral collateral circulation compensation grading, the relationship between Alberta Stroke Program Early CT Score (ASPECTS) on diffusion weighted imaging (DWI-ASPECTS) and cerebral infarction volume were analyzed.Results There were no significant differences in gender, age, time from onset to MR examination, hypertension, diabetes, hyperlipidemia, smoking history and drinking history between the two groups (P＞0.05). The proportion of atrial fibrillation and National Institute of Health Stroke Scale (NIHSS) score of group A were higher than those of group B [39.62% vs. 20.62%, (14.65±2.54) points vs. (12.87±3.27) points] (P＜0.05). The grade of cerebral collateral circulation compensation and DWI-ASPECTS score were lower than group B [(1.86±0.45) vs. (2.27±0.64), (7.76±1.23) points vs. (8.25±1.34) points] (P＜0.05). The cerebral infarction volume of group A was larger than that of group B [(54.28±12.34) cm3 vs. (25.67±8.63) cm3] (P＜0.05).Conclusions MR FLAIR is of value in the diagnosis of ischemic stroke. The higher the HVS score, the better the cerebral collateral circulation compensation, the milder the neurological deficit, and the smaller the cerebral infarction volume, which is of great significance for ischemic stroke.
[Keywords] ischemic stroke；magnetic resonance imaging；fluid-attenuated inversion recovery sequence；diffusion-weighted imaging；hyperintense vessel sign

XIE Kanglin   WANG Chongxiao   ZHANG Faping*   SHU Lingling   WANG Linkui  

Department of Radiology, Wannan Rehabilitation Hospital, Wuhu City Fifth People's Hospital, Anhui Province, Wuhu 241000, China

Zhag FP, E-mail: zfp41@163.com

Conflicts of interest   None.

Received  2020-08-14
Accepted  2021-01-21
DOI: 10.12015/issn.1674-8034.2021.03.014
Cite this article as: Xie KL, Wang CX, Zhang FP, et al. Application of MR FLAIR in the diagnosis of ischemic stroke[J]. Chin J Magn Reson Imaging, 2021 12(3): 63-66. DOI:10.12015/issn.1674-8034.2021.03.014.

1
Lwhagen H, Rentzos A, Karlsson JE, et al. Endovascular treatment of acute ischemic stroke. Stroke, 2017, 48(6): 1601-1607. DOI: 10.1016/j.nic.2013.03.014
2
Xu KX, Chen XJ, Zuo TS, et al. Diagnosis value of high signal in middle cerebral artery on FLAIR and SWI of acute ischemic stroke. J Chin Clin Med Imaging, 2017, 28(9): 609-613. DOI: 10.3969/j.issn.1008-1062.2017.09.001
3
Zhou SB, Zhang XM, Gao Y, et al. Diffusion-weighted imaging volume and diffusion-weighted imaging volume growth in acute stroke. NeuroReport, 2019, 30(13): 875-881. DOI: 10.1097/WNR.0000000000001291
4
Cai X, Sun JZ, Chen ZC,et al. Prognostic value of fluid-attenuated inversion recovery imaging vascular hyperintensity in intravenous thrombolysis of acute ischemic stroke. Chin J Neurol, 2014, 47(9): 628-632. DOI: 10.3760/cma.j.issn.1006-7876.2014.09.007
5
BranchNeurology, Chinese Medical Association, cerebrovascular disease group, branchneurology, Chinese Medical Association. Chinese guidelines for diagnosis and treatment of acute ischemic stroke 2014.Chin J Neurol, 2015, 48(2): 246-257. DOI: 10.3760/cma.j.issn.1006-7876.2015.04.002
6
Mathias TL, Albright KC, Boehme AK, et a1.Cardiac function and short-tem outcome in Patients with acute ischemic stroke:a croos-sectional study. J Cardiovasc Dis, 2013, 1(2): 6-29.
7
Olindo S, Chausson N, Joux J, et al. Fluid-attenuated inversion recovery vascular hyperintensity: an early predictor of clinical outcome in proximal middle cerebral artery occlusion. Arch Neurol, 2012, 69(11): 1462-1468. DOI: 10.1001/archneurol.2012.1310
8
Higashida RT, Furlan AJ, Roberts H, et al. Trial design and reporting standards for intra-arterial cerebral thrombolysis for acute ischemic stroke. Stroke, 2003, 34(8): e109-e137. DOI: 10.1016/S1051-0443(07)60431-X
9
Demeestere J, Garcia-Esperon C, Garcia-Bermejo P, et al. Evaluation of hyperacute infarct volume using ASPECTS and brain CT perfusion core volume. Neurology, 2017, 88(11): 2248-2253. DOI: 10.1212/WNL.0000000000004028
10
Liu ZS, Li C, Wang W, et al. Significance of change of fluid-attenuated inversion recovery hyperintense vessel sign after endovascular recanalization in acute ischemic stroke.Chin J Radiol, 2015, 49(7): 535-539. DOI: 10.3760/cma.j.issn.1005-1201.2015.07.013
11
Wang Y, Zhou Z, Ding S. FLAIR vascular hyperintensity-DWI mismatch most likely to benefit from recanalization and good outcome after stroke. Medicine, 2020, 99(18): 215-218. DOI: 10.1097/MD.0000000000018665
12
Li CC, Yang YM, Yin LK, et al. The Study on the Hemodynamics of FLAIR Hyperintensity in Acute Ischemic Stroke Patients with Middle Cerebral Artery Occlusion. Chin J Med Imaging, 2017, 23(2): 107-112. DOI: 10.3969/j.issn.1006-5741.2017.02.002
13
Cosnard G, Duprez T, Grandin C, et al. Fast FLAIR sequence for detecting major vascular abnormalities during the hyperacute phase of stroke: a comparison with MR angiography. Neuroradiology, 1999, 41(5): 342-346. DOI: 10.1007/s002340050761
14
Gory B, Chamard L, Turjman F, et al. Early lesion reversal on DWI and FLAIR after thrombectomy reperfusion in acute ischemic stroke. Revue Neurol, 2017, 173(6): 422. DOI: 10.1016/j.neurol.2017.03.024
15
Song L, Gao B, Shen GQ, et al. The Clinical Value of FLAIR Vascular Hyperintensity and DWI in Ischemic Stroke.J Clin Radiol, 2019, 38(9): 1613-1618. DOI: 10.13437/j.cnki.jcr.2019.09.009
16
Ebinger M, Kufner A, Galinovic I, et al. Fluid-attenuated inversion recovery images and stroke outcome after thrombolysis. Stroke, 2012, 43(2): 539-542. DOI: 10.1161/STROKEAHA.111.632026
17
Liu ZS, Sun Y, Zhou LJ, et al. Prognostic value of fluid-attenuated inversion recovery hyperintense vessel sign in endovascular recanalization of acute middle cerebral artery occlusion. Chin J Radiol, 2016, 50(8): 615-619. DOI: 10.3760/cma.j.issn.1005-1201.2016.08.012
18
Dong LL, Zhang BS, Han HX.Assessment of collateral circulation in ischemic stroke. Chin J Neuromed, 2018, 17(1): 25-28. DOI: 10.3760/cma.j.issn.1671-8925.2018.01.004
19
Cheng B, Ebinger M, Kufner A, et al. Hyperintense vessels on acute stroke fluid-attenuated inversion recovery imaging: associations with clinical and other MRI findings. Stroke, 2012, 43(11): 2957-2961. DOI: 10.1161/STROKEAHA.112.658906
20
Hou D, Yu D, Yang GS. The relationship between RBP4 and infarct volume in patients with acute ischemic stroke and its predictive value for severity. J Pract Med, 2019, 35(24): 3818-3822. DOI: 10.3969/j.issn.10065725.2019.24.019
21
Ke W, Deng XR, Li WL, et al. Application of CT perfusion imaging aspects in thrombolytic recanalization of acute ischemic stroke. Chin J Gerontol, 2018, 38(12): 2829-2832. DOI: 10.3969/j.issn.1005-9202.2018.12.006
22
Xu KX, Gu BD, Meng Y, et al. Prediction research of cerebral infarction volume in acute ischemic stroke patients with middle cerebral artery occlusion by hyperintense vessel sign on FLAIR MRI. J Chin Clin Med Imaging, 2018, 29(11): 73-76. DOI: 10.12117/jccmi.2018.11.014

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